{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T04:42:40Z","timestamp":1781239360793,"version":"3.54.1"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005366","name":"University of Oslo","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005366","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Aesth Plast Surg"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>Lymphedema is a common, debilitating condition that challenges treatment efforts. The primary aim of treatment is to debulk the affected areas, providing relief without further damaging tissues or causing undesirable cosmetic outcomes. Liposuction has become a popular treatment for end-stage extremity lymphedema, yet there is no consensus on the most effective technique. Current practices include a range of methods such as dry, wet, superwet, laser-assisted, water-assisted, and power-assisted liposuction. Dry liposuction has sparked controversy, primarily due to concerns that it might be less gentle, and therefore potentially more harmful, than wet liposuction. Contrary to this, we posit that dry liposuction is a viable, low-risk alternative that minimizes the risk of tissue and lymph vessel damage while providing excellent and durable outcomes. This assertion is supported by current literature. In this video article, we present our systematic, step-by-step approach to performing dry liposuction for end-stage lymphedema, illustrating its efficacy and safety. Our personal experience is that patients experience significant reductions in limb volume and report high satisfaction rates, demonstrating that dry liposuction is both effective and reliable for the long-term management of end-stage lymphedema.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence V<\/jats:title>\n                    <jats:p>\n                      This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors \u00a0\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.springer.com\/00266\" ext-link-type=\"uri\">www.springer.com\/00266<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00266-026-05745-y","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T18:52:19Z","timestamp":1773773539000},"page":"3321-3324","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Dry Liposuction for Upper-Extremity End-Stage Lymphedema: A Step-by-Step Video\u00a0of Technique"],"prefix":"10.1007","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9005-3875","authenticated-orcid":false,"given":"Martin","family":"Sollie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Lilja","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoffer Bing","family":"Ydo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Foged","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens Ahm","family":"S\u00f8rensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f8rn Bo","family":"Thomsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"key":"5745_CR1","doi-asserted-by":"publisher","first-page":"1480","DOI":"10.4065\/80.11.1480","volume":"80","author":"RM Morrell","year":"2005","unstructured":"Morrell RM, Halyard MY, Schild SE, et al. Breast cancer-related lymphedema. Mayo Clin Proc. 2005;80:1480\u20134. https:\/\/doi.org\/10.4065\/80.11.1480.","journal-title":"Mayo Clin Proc"},{"key":"5745_CR2","doi-asserted-by":"publisher","first-page":"1937","DOI":"10.1056\/NEJMcp1803290","volume":"379","author":"SG Rockson","year":"2018","unstructured":"Rockson SG. Lymphedema after breast cancer treatment. N Engl J Med. 2018;379:1937\u201344. https:\/\/doi.org\/10.1056\/NEJMcp1803290.","journal-title":"N Engl J Med"},{"key":"5745_CR3","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1089\/lrb.2021.0013","volume":"20","author":"LC Ward","year":"2022","unstructured":"Ward LC, Koelmeyer LA, Moloney E. Staging breast cancer-related lymphedema with bioimpedance spectroscopy. Lymphat Res Biol. 2022;20:398\u2013408. https:\/\/doi.org\/10.1089\/lrb.2021.0013.","journal-title":"Lymphat Res Biol"},{"key":"5745_CR4","first-page":"170","volume":"49","author":"Executive Committee","year":"2016","unstructured":"Executive Committee. The diagnosis and treatment of peripheral lymphedema: 2016 consensus document of the International Society of Lymphology. Lymphology. 2016;49:170\u201384.","journal-title":"Lymphology"},{"key":"5745_CR5","first-page":"1","volume":"51","author":"I Tzani","year":"2018","unstructured":"Tzani I, Tsichlaki M, Zerva E, et al. Physiotherapeutic rehabilitation of lymphedema: state-of-the-art. Lymphology. 2018;51:1\u201312.","journal-title":"Lymphology"},{"key":"5745_CR6","doi-asserted-by":"publisher","first-page":"464","DOI":"10.1097\/01.sap.0000257149.42922.7e","volume":"59","author":"AG Warren","year":"2007","unstructured":"Warren AG, Brorson H, Borud LJ, Slavin SA. Lymphedema: a comprehensive review. Ann Plast Surg. 2007;59:464\u201372. https:\/\/doi.org\/10.1097\/01.sap.0000257149.42922.7e.","journal-title":"Ann Plast Surg"},{"key":"5745_CR7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvscit.2023.101238","volume":"9","author":"K Singh","year":"2023","unstructured":"Singh K, Kania T, Kimyaghalam A, et al. How I do it: Radical debulking of lower extremity end-stage lymphedema. J Vasc Surg Cases Innov Tech. 2023;9:101238. https:\/\/doi.org\/10.1016\/j.jvscit.2023.101238.","journal-title":"J Vasc Surg Cases Innov Tech"},{"key":"5745_CR8","first-page":"85","volume":"49","author":"D Lee","year":"2016","unstructured":"Lee D, Piller N, Hoffner M, et al. Liposuction of postmastectomy arm lymphedema decreases the incidence of erysipelas. Lymphology. 2016;49:85\u201392.","journal-title":"Lymphology"},{"key":"5745_CR9","doi-asserted-by":"publisher","first-page":"482","DOI":"10.1097\/PRS.0000000000010612","volume":"153","author":"T Karlsson","year":"2024","unstructured":"Karlsson T, Mackie H, Koelmeyer L, et al. Liposuction for advanced lymphedema in a multidisciplinary team setting in Australia: 5-year follow-up. Plast Reconstr Surg. 2024;153:482\u201391. https:\/\/doi.org\/10.1097\/PRS.0000000000010612.","journal-title":"Plast Reconstr Surg"},{"key":"5745_CR10","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1089\/lrb.2016.0035","volume":"15","author":"M Hoffner","year":"2017","unstructured":"Hoffner M, Bagheri S, Hansson E, et al. SF-36 shows increased quality of life following complete reduction of postmastectomy lymphedema with liposuction. Lymphat Res Biol. 2017;15:87\u201398. https:\/\/doi.org\/10.1089\/lrb.2016.0035.","journal-title":"Lymphat Res Biol"},{"key":"5745_CR11","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1097\/SAP.0000000000000597","volume":"77","author":"AK Greene","year":"2016","unstructured":"Greene AK, Maclellan RA. Operative treatment of lymphedema using suction-assisted lipectomy. Ann Plast Surg. 2016;77:337\u201340. https:\/\/doi.org\/10.1097\/SAP.0000000000000597.","journal-title":"Ann Plast Surg"},{"key":"5745_CR12","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1055\/s-0035-1549158","volume":"32","author":"H Brorson","year":"2016","unstructured":"Brorson H. Liposuction in lymphedema treatment. 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J Clin Med. 2021;10:4852. https:\/\/doi.org\/10.3390\/jcm10214852.","journal-title":"J Clin Med"}],"container-title":["Aesthetic Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00266-026-05745-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00266-026-05745-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00266-026-05745-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T15:59:12Z","timestamp":1779119952000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00266-026-05745-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,17]]},"references-count":14,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["5745"],"URL":"https:\/\/doi.org\/10.1007\/s00266-026-05745-y","relation":{},"ISSN":["0364-216X","1432-5241"],"issn-type":[{"value":"0364-216X","type":"print"},{"value":"1432-5241","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,17]]},"assertion":[{"value":"27 October 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 March 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study did not require review board approval. The study was performed in accordance with the Declaration of Helsinki.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval"}}]}}